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General NPI Number Information
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NPI Number | 1336264563
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Entity Type | Individual
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Provider Name | CHIHCHEN SOPHIA LEE LPMT, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 100 CAMPUS DR
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City | WEATHERFORD
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State | OK
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Zip | 73096-3001
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Country | US
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Telephone | 580-774-3218
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Fax | 580-774-3714
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Provider Business Mailing Address
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Address Line | 1505 PLAINS AVE
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City | WEATHERFORD
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State | OK
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Zip | 73096-2514
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Country | US
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Telephone | 580-772-5354
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Fax | 580-772-5354
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 01
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 04364
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License Number State | PA
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